Quade, Jacklyn L

Quade, Jacklyn L is an individual health care provider with primary practice located at 1051 N Canton Center Road , Canton MI 48187-5097. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Quade, Jacklyn L can be contacted via phone (734) 844-5400.

Contact Information

Primary practice address
1051 N Canton Center Road Canton MI 48187-5097
Phone: (734) 844-5400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X 4301098317 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301098317 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301098317 Michigan

Profile Details

NPI number 1790078624
LBN Legal business name Quade, Jacklyn L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2011
Last updated Mar 6th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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